Teresa Jo Poppas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10538 Issued in FL

Practice address

3825 Henderson Blvd
Suite 304
Tampa, FL 33629-5037

Phone

(813) 220-4530

NPI assigned

Sep 27, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1174874317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 LAKE VISTA DR",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343929",
            "telephone_number": "813-220-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HENDERSON BLVD",
            "address_2": "SUITE 304",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295037",
            "telephone_number": "813-220-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPAS",
        "first_name": "TERESA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecille Rose Pope, MD
• Jonathan D Pope, AGPCNP-C, PMHNP-BC
• Shaniyah Pope
• Barbara Popek
• Kyle Marissa Popkave
• Joel Christopher Porch, CRNA
• Anthony Porco, OD
• Katelyn Elizabeth Poremski
• Janice Poret, CRNA
• Ana Karla Porra Paz

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.